BREA OLINDA UNIFIED SCHOOL DISTRICT
ACCOMODATION PLAN
SECTION 504
Student Name: Date of Evaluation: 04.01.2014
Meeting Date: 10.13.2014 Annual Review Date: 10.13.2015
SECTION I - DEMOGRAPHIC DATA.
Grade:11
grandparents
Birth date:02.18.1998
Guardian: MM Gag
Address: Home Phone:
Other phone:
Interpreter Required: No
Primary Language Spoken in Home:English
English Proficiency of Student: Full Prof
District of Residence: BOUSD
District of Attendance: BOUSD School of Attendance: BOHS
SECTION I - EVALUTION SUMMARY
Identified disability: ADHD, Inattentive type
determined: CHOC Children’s Hospital, letter dated 10/3/14 by Dr.
Ho
|. Effect of disability on learning school functioning: affects, focus, concentration,
task completion
Areas of needed progam accommodation: executive functioning
Requires Individualized Health Plan: No
SECTION II - ACCOMODATIONS NEEDED
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Person Duration
Areas of Need Accomodations
Responsibl
Extended time on tests, quizzes, homework,
projects, as needed and if adequate progress
is being made.
Regular Education:
Partial work acceptance
Use of Learning Center, as needed Teacher, Student ongqing